| Health Zone Pllc | |
|
707 Lassiter St Smithfield NC 27577-4613 | |
| (919) 912-5160 | |
| (919) 938-0008 |
| Full Name | Health Zone Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 707 Lassiter St, Smithfield, North Carolina |
| Authorized Official Name and Position | Rodolfo C Reyes (OWNER/MANAGER) |
| Authorized Official Contact | 9108934111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Zone Pllc 100 S 10th St Lillington NC 27546-6690 Ph: (910) 893-4111 | Health Zone Pllc 707 Lassiter St Smithfield NC 27577-4613 Ph: (919) 912-5160 |
| NPI Number | 1629007398 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 01/05/2012 |
| Medicare PECOS PAC ID | 5193767069 |
|---|---|
| Medicare Enrollment ID | O20050601000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629007398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rodolfo Constantino Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184653834 PECOS PAC ID: 7911819628 Enrollment ID: I20040818000056 |
| Provider Name | Elizabeth Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215410139 PECOS PAC ID: 1759635477 Enrollment ID: I20181116000196 |
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